Wisdom tooth won't erupt fully due to less availability of space in the oral cavity, it will be covered by bone. The bone has to be removed first to extract the wisdom tooth. If it is not removed it will cause lesion inside the bone which will not be visible without X ray. Other tooth which erupt normally and get decayed should be removed without cutting bone that's why there is no need of surgery for the same.

When you walk into a dental consult assuming it’ll be just about that tooth which is hurting you’ll be shocked to know that it’s a lot more than just that.Every dentist is meant to evaluate you on a variety of characteristics starting from your mental make up down to your risk assessment. Remember (hangover the line about you’re just a dentist) those movies that talk about dentists not being doctors Well if you read on you’ll know why dentists are doing all the heavy lifting when it comes to your overall health as well.

1. Checking your overall health

It starts from the waiting room where we tend to check your overall appearance rule out any obvious syndromes and diseases. Your body language, breathing rate and sometimes even your gait can be telltale signs of underlying problems that when diagnosed well can medically save you years of treatment. A patient of ours was really tall and had a very oddly pronounced bone structure and we ordered hormone tests turns out he had a growth hormone excess which was due to a tumour which was thankfully removed in time. If you were panting getting to your dentist on the first floor you may want to get a fitness assessment for your heart.

Your face shape colour and size has a lot to do with how your smile fits into that frame. Most dentists have a good idea about your teeth size shape and even alignment even before you open your mouth.

3. Profiling your personality

We learn to classify personality types in dental school as this helps us in communicating with you better and also customizing your smiles based on your nature. If you’re a bold female in a corporate job we reckon strong squarish teeth will suit your personality as opposed to round small teeth. If you’re a methodical and detail oriented patient chances are you’re extremely conscious about your dental hygiene as well. If you’re extremely phobic of the entire dental process we have prior assessments for the same to ensure proper treatment approaches suited to your needs.

4. Assessing your genetic propensity

When your dental checkup is happening we also take a family history to understand if you are genetically more prone to cavities and dental problems. These patterns have a tremendous genetic repetition and even if you brush twice a day you may wonder why you end up with cavities it could be because genetically you are more prone. This doesn’t mean all is lost but this means that you will have to protect yourself more than regular hygiene methods like a fluoride treatment annually starting from a young age can help give you extra protection.

5. Checking for any joint problems

Some of us end up getting severe facial pain and problems with our facial joints near the ears. Since this falls between the grey area of an ear,nose,throat physician or a dentist we don’t know who exactly will solve these problems. But many dentists undertake TMJ studies as a specialty in itself since it’s more to do with jaws and teeth than the ears. A normal checkup will entail assessing your joint is healthy as well.

A dentist also must check your gums lips and cheeks to rule out any white patches or growths that may increase your risk to cancer. A routine full mouth panoramic X-ray is actually legally mandatory after each checkup to rule out any hidden bone or jaw growths.

If you are someone who shudder at the sound of the word dentist, read our blog to help you to take the first step.

Bruxism is a condition in which you grind, gnash or clench your teeth. If you have bruxism, you may unconsciously clench your teeth when you're awake (awake bruxism) or clench or grind them during sleep (sleep bruxism).

Sleep bruxism is considered a sleep-related movement disorder. People who clench or grind their teeth (brux) during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea).

Mild bruxism may not require treatment. However, in some people, bruxism can be frequent and severe enough to lead to jaw disorders, headaches, damaged teeth and other problems.

Because you may have sleep bruxism and be unaware of it until complications develop, it's important to know the signs and symptoms of bruxism and to seek regular dental care.

Symptoms

Signs and symptoms of bruxism may include:

Teeth grinding or clenching, which may be loud enough to wake up your sleep partner

Medications and other substances. Bruxism may be an uncommon side effect of some psychiatric medications, such as certain antidepressants. Smoking tobacco, drinking caffeinated beverages or alcohol, or using recreational drugs may increase the risk of bruxism.

Family members with bruxism. Sleep bruxism tends to occur in families. If you have bruxism, other members of your family also may have bruxism or a history of it.

Other disorders. Bruxism can be associated with some mental health and medical disorders, such as Parkinson's disease, dementia, gastroesophageal reflux disorder (GERD), epilepsy, night terrors, sleep-related disorders such as sleep apnea, and attention-deficit/hyperactivity disorder (ADHD).

Complications

In most cases, bruxism doesn't cause serious complications. But severe bruxism may lead to:

A dental exam may detect other disorders that can cause similar jaw or ear pain, such as temporomandibular joint (TMJ) disorders, other dental problems or health conditions.

Referral

If your bruxism seems to be related to major sleep issues, your doctor may recommend a sleep medicine specialist. A sleep medicine specialist can conduct more tests, such as a sleep study that will assess for episodes of teeth grinding and determine if you have sleep apnea or other sleep disorders.

If anxiety or other psychological issues seem related to your teeth grinding, you may be referred to a licensed therapist or counselor.

Treatment

In many cases, treatment isn't necessary. Many kids outgrow bruxism without treatment, and many adults don't grind or clench their teeth badly enough to require therapy. However, if the problem is severe, options include certain dental approaches, therapies and medications to prevent more tooth damage and relieve jaw pain or discomfort.

Talk with your dentist or doctor to find out which option may work best for you.

Dental approaches

If you or your child has bruxism, your doctor may suggest ways to preserve or improve your teeth. Although these methods may prevent or correct the wear to your teeth, they may not stop the bruxism:

Splintsand mouth guards. These are designed to keep teeth separated to avoid the damage caused by clenching and grinding. They can be constructed of hard acrylic or soft materials and fit over your upper or lower teeth.

Dental correction. In severe cases — when tooth wear has led to sensitivity or the inability to chew properly — your dentist may need to reshape the chewing surfaces of your teeth or use crowns to repair the damage.

Other approaches

One or more of these approaches may help relieve bruxism:

Stress or anxiety management. If you grind your teeth because of stress, you may be able to prevent the problem by learning strategies that promote relaxation, such as meditation. If the bruxism is related to anxiety, advice from a licensed therapist or counselor may help.

Behavior change. Once you discover that you have bruxism, you may be able to change the behavior by practicing proper mouth and jaw position. Ask your dentist to show you the best position for your mouth and jaw.

Biofeedback. If you're having a hard time changing your habits, you may benefit from biofeedback, a method that uses monitoring procedures and equipment to teach you to control muscle activity in your jaw.

Muscle relaxants. In some cases, your doctor may suggest taking a muscle relaxant before bedtime, for a short period of time.

Medication for anxiety or stress. Your doctor may recommend short-term use of antidepressants or anti-anxiety medications to help you deal with stress or other emotional issues that may be causing your bruxism.

Treating associated disorders

Treatment for associated disorders may include:

Medications. If you develop bruxism as a side effect of a drug, your doctor may change your medication or prescribe a different one.

Medical conditions. If an underlying medical condition, such as gastroesophageal reflux disease (GERD), is identified as the cause, treating this condition may improve bruxism.

Lifestyle and home remedies

These self-care steps may prevent or help treat bruxism:

Reduce stress. Listening to music, taking a warm bath or exercising can help you relax and may reduce your risk of developing bruxism.

Avoid stimulating substances in the evening. Don't drink caffeinated coffee or caffeinated tea after dinner and avoid alcohol during the evening, as they may worsen bruxism.

Practice good sleep habits. Getting a good night's sleep, which may include treatment for sleep problems, may help reduce bruxism.

Talk to your sleep partner. If you have a sleeping partner, ask him or her to be aware of any grinding or clicking sounds that you might make while sleeping so you can report this to your dentist or doctor.

Schedule regular dental exams. Dental exams are the best way to identify bruxism. Your dentist can spot signs of bruxism in your mouth and jaw during regular visits and exams.

Preparing for your appointment

You may start by seeing your dentist or your primary care doctor. In some cases when you call to set up an appointment, you may be referred to a sleep medicine specialist.

Any symptoms you're experiencing, including any that may seem unrelated to the reason for the appointment. If you experience pain, make a note of when it occurs, such as when you wake up or at the end of the day.

Key personal information, including any major stresses or recent life changes.

All medications, including over-the-counter medications, vitamins, herbs or other supplements, you're taking and the dosages. Let your doctor know about anything you've taken to help you sleep.

Medications

In general, medications aren't very effective for treatment of bruxism, and more research is needed to determine their effectiveness. Examples of medications that may be used for bruxism include:

Other damage to your teeth, the underlying bone and the inside of your cheeks, usually with the help of X-rays

Sensation cud b due to wearing down of tooth enamel or cavity. Any anti sensitive tooth paste can help in case of tear and wear down of enamel but if it is due to cavity, then only a qualified dentist can help. Kindly visit your dentist for evaluation.

Almost every person has some degree of bad breath upon waking in the morning (this is called morning breath) and is easily eliminated by brushing the teeth. It is only when bad breath progress after brushing ones teeth that a diagnosis of halitosis can be made.
Halitosis is often caused by a mouth or throat infection or in response to a food item in one’s diet. The main food culprit is garlic which can often be easily counteracted by eating parsley. Oral health conditions can also cause bad breath and are responsible for the development of halitosis in 85-90% of bad breath sufferers.
Severe diets which restrict carbohydrate intake such as ketogenic diets are also responsible for the development of bad breath.
Certain anatomical deviations such as corrugations or striations in the tongue do allow for the accumulation and growth of bacteria in the oral cavity.
Certain foods Foods such as garlic, onions and spicy foods etc. Cause foul smelling breath after eating them. These foods are absorbed into the bloodstream, transferred into the lungs and become expelled in the air you breathe. Regular eating of such foods is likely to cause halitosis. People who diet are more likely to develop unpleasant breath from infrequent eating. You also get direct expulsion of these gases from your digestive tract.
Poor oral health care Without proper and regular brushing, flossing and routine examinations by your dentist, food remains in the mouth causing bacteria to multiply and produce toxic waste which in turn causes breath odor. Food stuck on the teeth, gums, and tongue creates an environment where bacteria can feed and multiply. These bacteria release certain chemicals as a by-product which causes damage and decay of the gums and teeth. The chemicals that are released by the bacteria and the resulting decay in the mouth contribute to the bad breath. Improper cleaning of dentures Dentures that are not cleaned properly may be collecting bacteria and food particles which cause bad breath. Periodontal disease One of the primary symptoms of periodontal gum disease is foul, odorous breath, and an unpleasant taste in the mouth. This condition requires immediate care by an oral health professional. Dry mouth (xerostomia) This condition is often a large contributor to halitosis. It occurs when the flow of saliva decreases. Saliva is required to cleanse the mouth and remove particles that may cause odor. Xerostomia may be caused by certain medications, a salivary gland disorder, or by continuously breathing through the mouth instead of the nose. Tobacco products Not only do tobacco products such as cigarettes, cigars, smokeless tobacco and snuff stain the teeth and put the body at risk for a host of other diseases, they also contribute to bad breath. Tobacco products cause bad breath, stained teeth, reduces one's ability to taste foods and irritates the gum tissue. Tobacco users are more likely to suffer from periodontal disease and are at greater risk for developing oral cancer. Medical condition Bad breath may be an indication or symptom of any of the following conditions. However, each individual may experience different symptoms such as: A respiratory infection Infection of the nose, windpipe, or lungs Chronic bronchitis Post nasal drip Chronic sinusitis Diabetes Gastrointestinal disorders Liver or kidney disorders
Severe dieting
Dieters may develop unpleasant "fruity" breath from keto-acidosis which is due to the breakdown of chemicals during fasting. Restriction of caloric intake leads to hunger which can lead to a dry mouth.
Factors that affect the airways and cause bad breath: Nasal Polyps Foreign bodies Sinusitis Dryness Bronchitis Pneumonia Factors that affect the esophagus and stomach and cause bad breath:
Gastritis and food reflux (GERD- gastro-esophageal reflux disease)
Stagnation of food FOR MEDICATION CONSULT ONLINE IN PRIVATE.

It usually occurs due to food lodgement in the loose skin around partially errupred wisdom tooth.
This causes swollen gum around the tooth due to bacterial growth.
Visit your dentist and get your x-ray and irrigation done with chlorhexidine /betadine NS mix.
If pain still persists frequently, then you have to get your wisdom tooth extraction.